Académique Documents
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Culture Documents
01
I spent the day chasing the Angel of Death.
Being a paramedic can be a hard life, living in an ambulance
for twelve hours a day, parked on street corners, inhaling reheated
7-Eleven burritos and Red Bull. There are shifts that wear on you,
when no matter what you do, even if you run calls as smoothly as
possible and do everything just right, that despite all the king’ s
horses and all the king’ s men . . .
Death walks in without remorse.
I’ve seen people’ s spirits leave them before my eyes. And there
is always something different in the room right then, something
transcendental, as if unseen ushers are escorting a soul from this
world. The entire week had been like that for my partner and me—
always one step behind the Reaper.
So you can imagine my surprise when we actually caught him.
ing the radio microphone up by his side window, light posts and
cars whizzing past, “I’m the fastest mic in the world.”
I refused to respond to his impromptu puppet, knowing that
if I so much as acknowledged it, I would find myself talking to a
derisive plastic microphone for the rest of the shift. I turned my
focus to the map book in my lap. “So you want to take Mill down-
town and then jog over to First and West.”
This time Bones spoke in the guttural voice he uses for
our ambulance, Medic Two, which through the outpouring of
his hyperactive imagination has also grown a sentient, albeit
simpleton, personality. “ Yes, Jonathan. That sounds good. . . .
And I love you.”
“ That’ s great.” I cringed with the realization that I’ d just
validated his anthropomorphic creation.
“Jonathan,” in Medic Two’ s deep, gravelly voice he continued,
“I love you.”
I patted the vinyl on the dashboard as if it were a horse’ s
neck. “ Thanks, Medic Two.”
“Jonathan?”
“Yes?”
“Do you love me too?”
There was no escaping this now.
“Yes, yes I do, Medic Two.”
“More than Medic Seven?”
“Yes, more than Medic Seven.”
“Good. I love you too. . . . Jonathan?”
I looked up at the ceiling of the cab. “ Yes?”
“I’m not a pig. I’m really fast.”
“You’re right, Medic Two. My bad.”
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patient’ s side, kneeling by the park ranger. “Go ahead and stop
compressions.”
The patient looked to be in his sixties, sporting a scraggly gray
beard and wispy hair. Yellowish vomit oozed down the side of his
face. His eyes were in a fixed and dilated stare. Bones cut off his
shirt. I placed the defibrillator patches on his chest and looked at
the monitor to examine his heart rhythm.
“Coarse V-fib, Bones. Charging to one-twenty. I’m clear—
everyone clear.” The park ranger held his hands up and glanced at
his knees.
I delivered the first biphasic electrical shock and watched the
man’ s body arch in tension and then relax again flat upon the
concrete.
“Still fib. Charging to one-fifty. Everyone clear.”
I delivered a second shock. No change.
“Charging to two hundred. Clear.”
The Shock button glowed a fiery red, the air taut with the
high-pitched whining of potential energy.
God, just let me have this one back.
My finger met the button. The man’ s body surged upward.
What followed was silence—and the long flat line of asystole.
I exhaled and nodded to the park ranger. “All right. Let’ s resume
compressions. Bones, you want me to bag him while you set up
to intubate?”
“Yes, sir, I do.”
I inserted a curved piece of plastic to hold back the man’ s tongue
from his throat. And after placing a mask over his mouth and nose,
I squeezed the purple bag attached to it to inflate his lungs and
breathe for him. “As soon as we get that tube, let’ s drop some epi
down—”
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of the laryngoscope blade down the man’ s throat. With his opposite
hand, he angled an endotracheal tube in toward the vocal cords.
The park ranger stood wide-eyed, staring at the twisted pro-
gression of it all.
I picked up the needle from the pavement and plunged a drop
of blood onto a glucometer to check our patient’ s blood-sugar level.
The display flashed a normal reading.
Bones withdrew the laryngoscope blade and picked up the bag
mask. He seated it over the man’ s mouth and squeezed. “ I’m having
a hard time seeing down there. I’ ll give it another go.”
He set the bag mask down and positioned himself for a second
attempt. He squinted down the man’ s gullet, his fist straining to
keep the handle in position.
Our patient bolted upright.
Bones flipped on his back, the laryngoscope skidding away like
a hockey stick on ice.
The man flashed wild eyes, found me, and grabbed my shirt
collar. He labored to breathe, staring with constricted pupils and
sweat beading on his brow. His mouth trembled, trying to form
a sentence.
He found words with a winded, raspy voice. “Arepo . . . Arepo
the Sower.”
“Hey, it’ s okay. We’re the paramedics. Here, let’ s lay you—”
“Listen.” He grabbed the back of my neck, struggling to keep
himself upright. His hands felt dirty and rough. “Arepo the Sower . . .
holds the wheels at work.”
I shook my head and lifted his arm away. “ He’ s delirious. Here,
you need oxygen.”
He slipped back toward the concrete.
“Here, yeah, lie back. Bones, let’ s throw him on some O’s.”
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Bones reached for an oxygen mask. The man tensed and winced,
his heart rhythm oscillating on the heart monitor.
Bones shifted the screen to see it. “ He’ s throwing runs of
V-tach.”
The man reached inside his coat and, with a trembling hand,
produced a folded piece of notebook paper. He grasped my forearm
and forced it into my palm.
“Martin.” His eyes locked with mine. “Give this to Martin.”
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We got off work an hour late after cleaning and restocking the
ambulance and finishing paperwork. The Sierras stood dark and
majestic, silhouetted by the day’ s crimson farewell. What was it
they said in the navy? Red at night, sailors delight. Red in the morn’,
sailors mourn.
Norah Jones escorted me home, her sultry, smoky voice enticing
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“Come Away With Me” through the car speakers. The black leather
of my VW Passat presented a comfortable contrast to the gritty
chaos of the workday. I longed to shed my uniform, to be free of
the sublime stench of the ambulance.
A paper crinkled in the side pocket of my pants. And I heard
my patient’ s raspy voice. . . . “Arepo the Sower holds the wheels at
work.”
I pulled out the note and unfolded it atop the steering wheel.
A series of markings littered both sides of the sheet—straight and
curved lines, dashes and slashes.
Chicken scratches.
I tossed it onto the passenger-side floor.
Streetlights glowed along the sidewalks. The lengthening
day disappeared in the west. Blue and red lights illumined my
dash.
That look in his eyes . . .
“Give this to Martin.”
I shrugged it off, watching the road zip beneath me. Norah
finished. The Byrds came on. “To everything . . . turn, turn, turn.”
I laughed and shook my head. The man had been obviously low
on oxygen and perhaps delusional. A paper full of scribbles meant
nothing. I was going home. I was going to relax and get away from
work and have my own life for at least the next ten hours.
The notepaper sat on the floor.
I couldn’t see throwing it away in good conscience. That left
me one option . . .
I hit the blinker at the next intersection. I’ d turn around, take
a half hour to go back to Saint Mary’s, and give the piece of paper
to the man—or at least to his nurse—and be done with it. The
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sooner I found him, the sooner I could drop it off and be home in
a hot shower.
Night had fallen by the time I pulled into the hospital parking
lot. The fatigue in my muscles made it feel later than it was. The
evening air bit sharp with the reminder that winter had yet to fully
loosen its grip.
At the ER doors I punched in the key code to enter. By now
they probably would have moved our patient to the cardiac intensive
care unit, but I decided to stop and ask to be sure. A multitasking
middle-aged nurse with long, frizzy brown hair gave me three sec-
onds, time enough for her to say, “CIC, ’bout an hour ago,” before
trading the clipboard chart she was holding with a new one from
a shelf. I don’t think she even heard me thank her as she set off for
the next patient room.
I made my way down the long corridor that led to the eleva-
tors. The entire hospital buzzed in a constant state of movement,
someone always going somewhere and doing something. The extent
of my interaction was limited to a polite smile as I shifted with the
sea of changing faces.
In the elevator I ran my fingers over the folds on the paper.
I placed it in my jacket pocket, and at the fifth floor exited and
walked toward a tall reception counter in the cardiac intensive care
unit. Behind it sat a young nurse with straight black hair just long
enough to be pulled into a ponytail. She reclined in a cheap office
chair, staring blank-faced at the surrounding rows of flat-panel
monitors coursing with electrical heart rhythms. I recognized her
from the ER.
She grinned with straight white teeth. “Uh-oh. Here comes
trouble.”
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the front here. And I thought I heard a couple of the other nurses
saying that he was lucky he didn’t yank his vocal cords out.”
“He pulled his tube.”
“Yeah.” She glanced at the chart. “And his IVs too.”
“That must’ve been him.” I nodded at a small brass key with a
plastic ring tag clipped to the top of the chart. “ What’ s that?”
She picked it up off of the clipboard and read a small sticky
note beneath it. “ ‘Patient belonging left behind.’ ” She twirled the
key between her fingers and thumb.
“What does it say on the tag there?”
She held it close to her nose. “ River Crown Motel.” Then flipped
it over.
I huffed. “ The River Crown. No doubt.”
“You know it?”
“Too well. East Fourth Street.” I scratched the back of my
neck. “ I just can’t believe that he left already.”
“Maybe you should check on him.”
“This day is never going to end.”
“What’ s that?”
I’ve come this far. . . . “ You know, you’re probably right. He could
be really sick somewhere.”
“Yeah.” She made a face of joking concern. “Or at the very
least locked out.” Bobbi looked around and then took my hand in
both of hers on the countertop. A cool metal shape dropped in my
palm. “ You really are so sweet to go the extra mile. Poor guy, he
might not even be able to get into his room.” She ran her fingers
along my knuckles.
Were I less tired and less consumed by the growing cloud of
mystery surrounding this patient and his absurd statements and
the ridiculous piece of paper that I couldn’t seem to throw away, I
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may have capitalized on that moment and scored a date with a hot
young nurse. But instead, half considering myself a fool, I simply
patted her hand and smiled. “ Thanks, Bobbi.” I turned and made
my way to the elevators.
“Don’t be a stranger, Jonathan.”
Back in my car, I hunched over the wheel and exhaled. The
steam from my breath climbed over the windshield and retreated.
I held up the key in the fluorescent parking lot light.
All right, Jonathan, let’ s get this done.
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